Provider Demographics
NPI:1134459993
Name:BUI, LUYEN D (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LUYEN
Middle Name:D
Last Name:BUI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10051 PREMIER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5756
Mailing Address - Country:US
Mailing Address - Phone:714-530-4730
Mailing Address - Fax:714-530-4031
Practice Address - Street 1:9661 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2706
Practice Address - Country:US
Practice Address - Phone:714-530-4730
Practice Address - Fax:714-530-4031
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50227183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist